Collagen Injection Therapy for Post-Prostatectomy Incontinence

Smith, Dennis N.; Appell, Rodney A.; Rackley, Raymond R.; Winters, J. Christian

doi:10.1097/00005392-199808000-00018

Cited by 26 publications

(43 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although direct comparisons are lacking, historical data indicates that InVance supplants most of the techniques offered until now as alternatives to AUS. Bulking agents have been extensively used but 1-year success rates have generally been below 20% [9][10][11]. Proact TM balloons seem to provide a slightly better outcome but implantation is still associated with a high rate of balloon ruptures and consequent explantations [12].…”

Section: Discussionmentioning

confidence: 99%

“…These inconveniences may be exacerbated in elderly people. In a recent study, almost half of the sphincters implanted in patients in the seventh decade of life were removed, inactivated or revised [8] [9][10][11]. The bulking effect has also been achieved with plastic balloons placed near the bladder neck, but the continence rate is still low and the number of balloon ruptures is as high as 40% [12].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Intermediate‐term results, up to 4 years, of a bone‐anchored male perineal sling for treating male stress urinary incontinence after prostate surgery

Guimarães¹,

Oliveira²,

Pinto³

et al. 2009

BJU International

View full text Add to dashboard Cite

anaesthesia. Patients were considered cured, if they stopped wearing continence pads and improved if the daily number of pads used decreased by at least half. The Incontinence Quality of Life questionnaire and a simple verbal question about patient satisfaction with the surgery were also used and complications were measured. RESULTSIn all, 40 patients (65%) were cured and 14 (23%) were improved after a mean followup of 28 months. The UI cure rates at 3 and 4 years follow-up were 70% and 66%, respectively. The most common side-effect was transient scrotal or perineal pain or numbness, which affected 12 patients (19%). There was a prolonged postvoid residual urine volume of > 100 mL in six patients (10%), which resolved within 2 weeks of indwelling catheterization. Explantation of the sling was required in two cases (3%) because of infection. In one patient (2%), revision was required for bone-anchor dislodgement. CONCLUSIONThe InVance sling offers good intermediateterm cure and improvement rates for SUI after prostatectomy. The procedure has an acceptably low rate of minor complications, and should be considered for treating men with less severe forms ( ≤ 5 pads per day) of SUI. KEYWORDS

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intermediate‐term results, up to 4 years, of a bone‐anchored male perineal sling for treating male stress urinary incontinence after prostate surgery

Guimarães¹,

Oliveira²,

Pinto³

et al. 2009

BJU International

View full text Add to dashboard Cite

show abstract

“…Collagen, silicon, teflon, carbon particles, autologous oil, durasphere, ethylene vinyl alcohol, polyetaphloretylene are used. Smith and et al (28) revealed that the 60-70% success with injection in short-term period and the success rate decreases during the long-term period. Furthermore, Cespedes et al (29) reported a 20% success rate for longterm period.…”

Section: Injectionmentioning

confidence: 99%

Post Prostatectomy Incontinence

Bozkurt¹,

Akın²,

Nuhoğlu³

2012

JAREM

View full text Add to dashboard Cite

Urinary incontinence after prostatectomy for malignant and/or benign prostatic diseases is one of the most serious complications. Urinary incontinence occurs rarely after prostatectomy for benign diseases. However, it may occur more commonly after radical prostatectomy. These complications affect the patient's quality of life. Treatment of incontinence due prostatectomy includes several methods which differ from conservative to invasive surgical procedures. Slings and artificial urethral sphincters (AUS) are used more often than other procedures. Infection ratios and erosion of urethra are less frequent in AUS than in slings. Although AUS is the standard surgical procedure for severe urinary incontinence, slings may be used for severe male incontinence after prostatectomy due to the current development in sling materials.. Herein, we evaluate post prostatectomy urinary incontinence and treatments in the light of a review of current literature. (JAREM 2012; 2: 96-100) Key Words: Male sling, radical prostatectomy, stress urinary incontinence, TURP ÖZETBenign ya da malign hastalıklar için yapılan prostatektomi sonrasında inkontinans gelişmesi en korkulan komplikasyonlardandır. Benign nedenlerle prostatektomi uygulanan hastalarda post operatif üriner inkontinans nadir iken, radikal prostatektomi sonrasında daha yüksek oranlarda görülür. Bu komplikasyon, hastanın yaşam kalitesini önemli derecede etkilemektedir. Prostatektomi sonrası oluşan idrar kaçırma tedavisinde; konservatif yön-temlerden, invaziv girişimlere kadar değişen farklı yöntemler kullanılır. Sling ve artifisyel üriner sfinkter (AÜS) operasyonları bu amaçla en sık kullanılan cerrahi tedavi yöntemlerdir. Sling yöntemleri, AÜS'e göre operasyon sonrası enfeksiyon ve üretral erozyon gibi komplikasyonları açısından düşük risk taşımaktadır. Şiddetli inkontinansta AÜS, günümüzde standart tedavi seçeneği sayılsa da, erkek sling materyallerindeki gelişmeler, ciddi inkontinans vakalarında da sling yöntemlerinin öne çıkacağını göstermektedir. Bu çalışmada prostatektomi sonrası idrar kaçırma ve tedavi yöntemleri güncel bilgiler eşliğinde değerlendirildi. (JAREM 2012; 2: 96-100) Anahtar Sözcükler: Male sling, stres üriner inkontinans, radikal prostatektomi, TURP

show abstract

“…In one study, social continence (dry or one pad a day) was reported in more than 50% of patients at 3 months. 48 However, it is the duration of the continent interval that is the major issue. At a follow-up of 2 years, the continent rate has dropped to 30% and the new solid particles 49 have not significantly improved long-term results.…”

Section: Surgical Interventionsmentioning

confidence: 99%